Minal Ganvir1, Simran R Parwani2*, Dhanashree S Chaudhary3, Kshipra P Kawadkar4 and Dipanshu Pahuja4
1Ex-Post Graduate Student, Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra, India
2Professor and Head of Department, Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra, India
3Post-Graduate Student, Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra, India
4Department of Periodontology, Post-Graduate Student, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra, India
*Corresponding Author: Simran R Parwani, Professor and Head of Department, Department of Periodontology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra, India.
Received: February 06, 2023; Published: February 23, 2023
Background: Deficiency of maxillary ridge height is the most common obstacle in achieving successful implant placement, for which one can either place short implants or go for sinus lift procedures. Osseo-densification is the most user friendly and predictable method of indirect sinus lift. Contrary to traditional bone drilling methods, which excavate bone while preparing osteotomy site; osseo-densification densifies surrounding bone in addition to preserving existing bone. This eventually helps in osseointegration and success of implant; wherein high-speed densifying burs are used with increasing sizes as sinus floor is elevated and/or bone width is expanded.
Materials and Method: Present case reports 64 years old male who wanted implants in upper right first and second maxillary molar. Cone Beam Computed Tomography (CBCT) examination revealed inadequate (4.8 mm) residual bone width 2 mm below level of crest in 16 region. For this osseo-densification procedure was carried out using VersahTM burs to widen the ridge. Also, in 17 region bone height was 6.1 mm, so to increase height, osseo-densification was used for sinus augmentation with simultaneous implant placements.
Results: Primary Stability of 35 N cm was achieved with both implants. Good osseointegration was evident on radiovisiograph at six months follow-up.
Conclusion: VersahTM burs facilitated sinus lift ridge expansion procedure; they can be a good option for pneumatized sinuses with inadequate residual bone height and narrow widths.
Clinical relevance: The success rate of implant is directly proportional to primary implant stability. The more the primary implant stability more will be the survival rate of implant. Therefore, short implants are avoided in this case to achieve maximum stability with the help of osseo-densification which has proved to be a boon for sinus augmentation and ridge expansion in deficient alveolar ridges.
Keywords: Osseo-Densification; VersahTM Burs; Implant Placement; CBCT; Osseointegration
Citation: Simran R Parwani., et al. “Sinus Augmentation and Ridge Expansion by Osseo-Densification and Simultaneous Implant Placement: An Atypical Case Report with Six Months Follow-Up". Acta Scientific Dental Sciences 7.3 (2023): 71-75.
Copyright: © 2023 Simran R Parwani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.